How Well Are You Responding To Aging?
What is your name?
What is your email address?
What is your phone number?
Answer the Following Questions
YES/NO
Does your aging, loved one have the power to make his/her own life choices?
YesNo
Does your aging, loved one want to be treated as a whole person?
Do you know what medical decisions are important to your aging, loved one?
Do you know who your aging loved one wants to make decisions on his/her behalf if he/she is not able to do so?
Are you or your aging, loved one confident in navigating the healthcare system?
Do you know what your aging, loved one’s end of life wishes are?
Do you know how your aging, loved one wants to spend the last moments/days of his/her life?
Do you know what your aging, loved one’s legacy will be?
Do you know how your aging, loved one wants his/her life to be honored?
Are you feeling stressed/guilty/overwhelmed about caring for an aging loved one? (If Applicable)
